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You Are Here:Home/Resources/Clinical Surveillance of Nursing Systems/Clinical Surveillance of Nursing Systems Details

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  • Nursing Leadership
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  • AHRQ 2019 Chartbook on Patient Safety (10/19)

    Monday, October 28, 2019 | AHRQ

    This Chartbook on Patient Safety includes a section with results from the National Nursing Home Survey on Patient Safety:

    National Healthcare Quality and Disparities Report

    This Patient Safety chartbook is part of a family of documents and tools that support the National Healthcare Quality and Disparities Report (QDR). The QDR includes annual reports to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129). This chartbook includes a summary of trends across measures of patient safety from the QDR and figures illustrating select measures of patient safety. A PowerPoint version is also available that users can download for presentations.

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    • Accident Prevention
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    • Fall Prevention
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  • Abuse and Neglect of Medicare Beneficiaries: OIG Targets SNFs (6/19)

    Wednesday, June 12, 2019 | OIG

    The Department of Health and Human Services Office of Inspector General issued two new reports that address the identification, reporting and investigation of incidents of potential abuse and neglect of our nation's most vulnerable populations, including seniors and individuals with developmental disabilities. OIG issued an early alert in 2017 based on the preliminary findings of this work. Our resulting work, released in June 2019, identify thousands of Medicare claims that indicate abuse and neglect of beneficiaries, including beneficiaries in skilled nursing facilities. If you suspect someone is the victim of abuse or neglect, contact law enforcement immediately.

    Reports:

    CMS Could Use Medicare Data To Identify Instances of Potential Abuse or Neglect 

    Incidents of Potential Abuse and Neglect at Skilled Nursing Facilities Were Not Always Reported and Investigated

     

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    • Corporate Compliance
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  • CMS Online Immediate Jeopardy Update Training (3/19)

    Friday, March 8, 2019 | CMS

    The Immediate Jeopardy Update Training introduces surveyors and non-surveyors to the revised Appendix Q–Core Guidelines to Determining Immediate Jeopardy. The Core Appendix Q focuses on the key components necessary to establish immediate jeopardy (IJ) under the regulations. 

    These key components are:

    • Noncompliance.
    • Serious harm, injury, impairment, or death that has occurred or is likely to occur. 
    • Immediate need for action by the provider/supplier to address the noncompliance.

    The Core Appendix Q also contains information about how surveyors should determine whether IJ exists, and it includes a template that surveyors must use to ensure that sufficient evidence exists for each key component of IJ.

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    • Survey Readiness
    • Risk Management
    • F Tag Citations
    • NAC
    • Fall Prevention
    • Survey Process
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  • All Cause Harm Prevention Webinar Recording Available (2/19)

    Thursday, February 14, 2019 | NNHQIC

    All Cause Harm Prevention in Nursing Homes Applying Strategies from the New CMS Change Package

    Thursday, January 24, 2019, 3:00pm ET (1 hour) Recording Available.

    One-third of SNF residents experience an adverse or temporary harm event, and the majority of those are preventable. As part of CMS’s focus on raising awareness of nursing home safety and to support safer nursing home care across the nation, CMS and the Quality Innovation Network National Coordinating Center released a new resource: a Change Package to prevent all cause harm in nursing homes. The Change Package is a compendium of successful practices of high-performing nursing homes, illustrating how they prevent harm while honoring each resident’s rights and preferences.

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  • Hand in Hand Training Course Update (9/18)

    Friday, September 14, 2018 | CMS
    Section 6121 of the Affordable Care Act of 2010 requires CMS to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matters experts, created this training to address the need for nurse aides’ annual in-service training on these important topics.

    The mission of the Hand in Hand training is to provide nursing homes with a high-quality training program that emphasizes person-centered care in the care of persons with dementia and the prevention of abuse.
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    • Culture Change
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    • Dementia
    • CMS Updates & Regulations
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    • Neurological
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  • New Survey Process Implementation: CMS Training Videos and Slides UPDATED (10/17)

    Monday, October 2, 2017 | CMS
    LTC Survey Process Videos: This course consists of a series of videos created by CMS outlining essential topics related to changes in the LTC regulations scheduled to be implemented for Phase 2. CMS videos on guidance provide regions and states a resource that can be used for training and education with surveyors, providers, and other stakeholder groups. October 2017 update: CMS has added the training slides that go with each video.
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  • Q&A: Where in the SOM does it state that allegations of abuse must be reported to the state within two hours or less?

    Tuesday, September 5, 2017 | Amy Stewart, RN, DNS-MT, QCP-MT, RAC-MT
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  • CMS Releases New Appendix PP Interpretive Guidance for Multiple Tags

    Friday, June 30, 2017 | Caralyn Davis, Staff Writer

    Nov. 28, 2017, marks the implementation of some significant changes in how the Centers for Medicare & Medicaid Services (CMS) expects nursing homes to operate—and in the survey process that state surveyors will use to assess those operations. CMS survey-and-certification memo S&C: 17-36-NH gives providers critical information about how to prepare for these changes that are required under Phase 2 of the roll-out of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule) updating the Medicare/Medicaid conditions of participation. This information includes an advance copy of 696 pages of revisions to the F-tags and the Interpretive Guidance in Appendix PP, “Guidance to Surveyors of Long-term Care Facilities,” of the State Operations Manual. Providers should note that the Appendix PP revisions include new subregulatory guidance for multiple F-tags, not just the Phase 2 regulatory changes.

    Here’s a summary of critical news—and what’s still to come:

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    • CMS Updates & Regulations
    • Care Planning
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    • F Tag Citations
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  • §483.5 Definitions Tool

    Thursday, December 8, 2016 | AADNS
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